Efficiency through expertise

We transform healthcare operations by applying Lean Six Sigma rigor to the systems that matter most

Foundation

Built on principles that endure

Cowan Consulting Group emerged from a simple conviction: healthcare systems carry unnecessary complexity that costs lives and resources. We believe that rigorous process discipline, grounded in Lean Six Sigma methodology, reveals the hidden inefficiencies that drain budgets and compromise safety across every stage of the value chain.

People

The practitioners

Lean Six Sigma black belts with deep healthcare operations experience

Marcus Cowan
Founder, principal

Twenty years reducing waste in hospital systems across three continents

Elena Rossi
Senior consultant

Italian-trained process engineer with medical device manufacturing expertise

James Chen
Senior consultant

Certified black belt who transformed supply chains for major clinic networks

Sophia Müller
Senior consultant

German-based expert in healthcare value stream mapping and safety integration

David Okonkwo
Consultant

Specializes in front-line adoption and grassroots process change implementation

Ana García
Consultant

Spanish-speaking consultant focused on Latin American healthcare operations

Growing with us

We seek consultants who understand that efficiency saves lives

Impact

What we've delivered across healthcare

Two decades of sustained results in hospital systems, clinics, and medical device operations. Our work spans three continents and touches the lives of millions through safer, more efficient care delivery.

20+

Years in healthcare operations

150+

Hospital groups and clinics served

6

Languages across our team

$2B+

In verified savings delivered

Trusted by leading healthcare organizations worldwide

2004

Marcus Cowan begins work in hospital lean transformation

A single black belt with a conviction that waste in healthcare was preventable. Early work in a major teaching hospital revealed the scale of hidden inefficiency across supply chains and clinical workflows.

2010

Cowan Consulting formally established in North America

Demand from hospital networks led to the founding of the firm. The first team assembled included Elena Rossi and James Chen, both certified black belts with deep operational experience.

2015

European expansion and medical device manufacturing focus

Sophia Müller joined from Germany, bringing expertise in healthcare value stream mapping. The firm began serving medical device manufacturers and clinic networks across Europe.

2019

Latin American operations and grassroots adoption methodology

Ana García brought Spanish-language capability and deep understanding of healthcare operations in Latin America. David Okonkwo joined to formalize front-line implementation and change management.

2024

Global consulting network with verified savings guarantee

Today, Cowan Consulting operates across six continents with a team of certified practitioners. We've delivered over two billion dollars in verified savings and continue expanding our reach into emerging healthcare markets.

Client voices

What hospital leaders and operations directors tell us

"They didn't just identify waste. They showed us how to eliminate it without disrupting patient care. The results were immediate and sustained."
Dr. Michael Hartley
Chief operations officer, regional hospital network
"Their approach to value stream mapping revealed inefficiencies we'd lived with for years. The savings alone justified the engagement, but the cultural shift was the real win."
Isabella Moretti
Director of operations, medical device manufacturer
"They understood our market. They understood our constraints. And they delivered results that exceeded what we thought was possible in our environment."
Carlos Mendez
Chief executive officer, Latin American clinic group